I have several friends / acquaintances that have converted to this kind of concierge practice. At least a few years ago, $5k / patient / year was a going price

I have several friends / acquaintances that have converted to this kind of concierge practice. At least a few years ago, $5k / patient / year was a going price for one of them, which gave you basically 24/7 more-or-less direct access to a physician. I'm not sure how it worked WRT lab and radiology costs, but it seemed that people could subsidize the expense significantly by changing to catastrophic insurance only, as simple visits (just a history and exam) were already covered, and many simple meds (eg antibiotics) available on the $4 list. One BIG reason that my wife and I remain working in a U.S. Federal system (in which the federal government pays for all necessary care) is that I don't have to deal with insurance. It is soul-crushing to have pencil pushers hundreds of miles away díctate the care you provide.